Directorate of Family Welfare, Orissa CDMO Conference Child Health Review

Child Health Strategies  IMNCI (Integrated Management of Neonatal & Childhood illness)  FIMNCI (Facility based Integrated Management of Neonatal & Childhood illness)  SNCU (Sick Newborn Care Unit)  PD (Pustikar Diwas)  NSSK ( Navajata Sishu Surakha Karyakram)

IMNCI District Training Achievement till Dec 09 Basic Training % FUSFTT AWWANM Balasore Bolangir Boudh Deogarh Gajapati Kalahandi Kandhamal Keonjhar Koraput

District Training Achievement till Dec 09 Basic Training % FUSFTT AWWANM Malkangiri Mayurbhanj Nawarangpur Nuapada Rayagada Sonepur Sundargarh473900

Sl. No. District Implementation Status ( %age) PNC Visit (24hr) 3 PNC Visit Young infant referral Sick child referral NMR (per 1000 LB) Balasore Bolangir Boudh4948NA 9 4Deogarh Gajapati Kalahandi Kandhamal KeonjharNA 9Koraput Malkangiri Mayurbhanj Nawarangapur Nuapada Rayagada Sonepur Sundargarh IMNCI Implementation status in 3 rd Qtr. (Oct. 09 to Dec. 09)

Issues in IMNCI Implementation Distribution of drugs / formats down below to AWC level Formation IMNCI Coordination Committee and regular meetings Joint review with ICDS at District & Block level Training of Supervisors in IMNCI Review progress on monthly basis Timely reporting from the Block to District and up to the State Additional venue for Basic Health workers training to be started Supervisory training to be given priority Issues of Deogarh on activating Banai: Approval will be given shortly RI Coordinator to remain in charge of MCH programmes in the absence of Child Survival Coordinator / Dy Manager Child Health Involvement of Med Colleges on conducting TOT for new districts and field assessment

Status of SNCU at Districts. DistrictStatusSuggestion AngulCompletedTo be operationalised on 1 st Feb.2010 Rayagada Sonepur Kandhamal Puri VSS MCH Sambalpur Civil work completed Electrical assessment pending. Assessment of Electrification to be done by Suptd. Eng/ Asst. Eng.(GED) which should be facilitated by CDMOs. BalasoreCivil works incomplete. Civil work to be expedited.

Other SNCU Issues Staff nurse to be recruited in Sonepur Kandhamal Puri Sambalpur Rayagada FBNC trained Staff Nurses should work exclusively in SNCU. Funds for recurring & maintenance Expenses have been provided to District with functional SNCU. Funds should be utilised to resolve day to day operational issues. SNCU Committee meeting to be held monthly.

Issues- Pustikar Diwas Irregular Reporting Boudh, Koraput, Nuapada, Malkangiri, Nayagarh, Sundargarh Very high case load on Pustikar Diwas Day: Screening at VHND to be strengthened One client receiving admitted several times for monetary benefits only: genuineness of cases should be checked at District/ Block level. Transparency in selection of pharmacy shops and investigation centres while referring cases for medicine and investigation Coordination with WCD (ICDS) functionaries in field level is weak District level meeting with DSWO should be done regularly Operational Guidelines and formats should be strictly used during Programme Implementation

Child Health Expenditure Expenditure analysis of Districts under Child Health as on (Rs in Lakhs) Sl No District Budget Expenditure inuccred % of Expenditure till Sep'09 till Dec'09 till Sep'09 till Dec'09 1Angul %15% 2Balasore %28% 3Baragarh %37% 4Bhadrak %15% 5Bolangir %18% 6Boudh %18% 7Cuttack %36% 8Deogarh %10% 9Dhenkanal %43% 10Gajapati %68% 11Ganjam %21% 12Jagatsinghpur %10% 13Jajpur %22% 14Jharsuguda %13% 15Kalahandi %12%

Child Health Expenditure Expenditure analysis of Districts under Child Health as on (Rs in Lakhs) Sl No District Budget Expenditure inuccred % of Expenditure till Sep'09 till Dec'09 till Sep'09 till Dec'09 16Kandhamal %30% 17Kendrapara %27% 18Keonjhar %14% 19Khurda %12% 20Koraput %1% 21Malkanagiri %23% 22Mayurbhanj %31% 23Nawarangpur %22% 24Nayagarh %1% 25Nuapada %9% 26Puri %37% 27Rayagada %313% 28Sambalpur %26% 29Sonepur %10% 30Sundargarh %13% Total %29%

Essential New Born care concepts at different levels Name of the facility Type of care availableType of careTraining required 24x7Newborn Care Corner NCC / NBC Prompt Referral NSSK &SBA training FRU/CHCNewborn care corner in LR & OT, NSU / SNCU-I /SCNU-Il Neonatal Stabilisation Unit FBNC training DHHNewborn care corner in LR& OT, SNCU-I / SCNU-II Special Care Newborn Unit FBNC TRAINING

STATUS ON SNCU-II CONSTRUCTION (Based on information from districts) As of 20th Nov' 09 Sl. No DistrictsConstruction Status Handing Over Status Payment Status Equipment Status Recruitment Status Training Status Dispatched from State Training of doctors Training of Paramedi cals 1 Angul Completed Handed over to CDMONot DoneYes Interview on dt Completed for two doctors & 2 SNs.: At Sishu Bhavan in Cuttackdone 2 Sambalpur 70% civil work completed, electrical work stopped due to non receipt of work order from NRHM ( work stopped since electrical work is not done) Not handed over : payment is dueNot DoneDispatched Recruited 3 SNs and 2 ANMs. Rest 6 SNs and 1 ANM need to be recruited.dodone 3 Sonepur Civil Work-Completed Electrical Work - CompleteddoNot DoneDispatched Recruitment of SN and ANMs not done : not availabledodone 4 Puri Civil Work-Completed Electrical Work & PH - CompleteddoNot DoneYesRecruitment completed will be held in Batch ll Will be done in Batch ll 5 Rayagada Civil Work-Completed Electrical Work - Completed PH Work completeddoNot DoneDispatched Not done : Bisam Cuttack approval has been donecompleted. Will be done after recruitmen t

6 Keonjhar Civil Work - 20% done, previous construction money is not paid. No order for electrical and PHD. Work not completedPaid 30% Initially Dispatched but later diverted to Balesore during CRMCompletedcompleted Will be done in Batch ll 7 Balasore Excavation is overnot doneNot Done Diverted to Kandhamal Advertise is over. Recruitment process is oncompleted will be done 8 VSS Medical College, Burla Civil work - incomplete Electrical work - Not started ( Not done in place of approval) No payment and no order for electrical and PHDnot doneNot DoneReached there Recruitment of 8 SN is overcompleted Will be done in Batch ll 9 MKCG Medical College, Berhamp ur Tenders called for twice failed. GED to execute the elecrification work as per Model Estimates. Renovation will be done by PWD.NA Equipments are idle for last 1 & 1/2 yrsNACompletedNA 10 SCB Medical College, Cuttack Phase l: Civil, electrification and PH work: completed; Phase ll: estimation is done, tenders will be called for.Done UNICEF has given partial payment SDMU to despatch soon Staff Posting will be decided by DMETcompleted Will be done in Batch ll

SNCUs supported by UNICEF Koraput2 Mayurbhanj4 Capital Hospital1 MKCG and SCB2 SNCUs supported by NIPI Angul1 Sambalpur1 VSS, Burla1 SNCU Supported by NRHM Puri1 Kandhmal1 Balasore1 Sonepur1 Rayagada1

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